Facet Joint Injections

What is a facet joint injection, and how is it performed? This article will explain these questions.

If you need expert spine treatment in Columbus, Ohio, book an appointment to see one of our orthopedic surgeons at OrthoNeuro today!

What is a Facet Joint Injection?

A facet joint injection is a needle-based procedure used to treat pain related to facet joint arthritis, which causes inflammation in the facet joints of the spine. The goal of this procedure is to use a mix of corticosteroids and anesthetic medications to decrease the inflammation of the facet joints in the neck or lower back that is causing localized pain as well as pain that can radiate into the extremities.

The board-certified spine specialists at OrthoNeuro are experts in facet joint injections and have helped thousands of patients return to an active and healthy lifestyle following this procedure.

When Are Facet Joint Injections Used?

Facet joint injections are used to treat pain originating from the facet joints in your neck or back. For example, facet joint injections can be an effective solution for those suffering from lower back pain, specifically targeting the lumbar facet joints. In this case, lumbar facet joint injections are used to provide relief and help patients regain an active and healthy lifestyle.

Facet joint injections may be used if your pain does not respond to conservative treatment. You would normally try treatments, such as physical therapy or modifying your activity levels, for at least 3 months before receiving facet joint injections.

Facet joint pain may be caused by the following:

  • Osteoarthritis
  • Traumatic injury
  • Joint instability
  • Impingement (excess pressure) of joint tissue
  • Inflammation of the joint lining

Facet joint injections may also be used to help diagnose facet joint pain. If you experience pain relief after an injection, then you should be able to identify the source of pain.

How is a Facet Joint Injection Performed at OrthoNeuro?

At OrthoNeuro, facet joint injections are performed on an outpatient basis and take only minutes. We also use real-time X-ray (fluoroscopy) to ensure precise placement of the needle and the medication to ensure the correct spinal joint.

General anesthesia is not needed during this procedure. Your OrthoNeuro specialist will administer a local anesthetic before your injection. 

Little to no discomfort is experienced during or after the procedure and you are allowed to return home shortly after. Facet joint injections usually provide immediate pain relief.

What Happens After a Facet Joint Injection?

Following your facet joint injection procedure, a nurse will carefully assess your vital signs and provide you with personalized discharge instructions. If you have any questions or concerns, the nurse will be readily available to address them.

You will also receive a pain journal, along with clear guidance on when to schedule a follow-up appointment. You will be informed if you have to restrict your activities for a certain period and for how long. You will also be given a time when you can remove your bandages.

In the event that you experience any adverse effects, such as shortness of breath, sudden weakness, allergic reactions, headaches, increased pain, or incontinence after the procedure, it is vital to promptly contact your physician for immediate attention and guidance.

How Often Do I Need Facet Joint Injections?

Facet joint injections can potentially provide long-term pain relief that lasts for 3 months or longer. Repeat injections may be performed up to 3 times a year to maintain results.

Side Effects of Facet Joint Injections

Facet joint injections are generally considered safe with a low risk of side effects. However, as with any medical procedure, there is a potential for certain risks.

Potential side effects include the following:

  • Swelling
  • Infection
  • Nerve Damage
  • Discomfort around the injection site
  • A temporary increase in back pain

Make an Appointment with an OrthoNeuro Spine Specialist Today

If you have been considering a facet joint injection, schedule an appointment with one of our board-certified spine specialists at one of our multiple locations throughout Greater Columbus, OH.

We will evaluate your unique lifestyle and goals to determine which type of injection is best for you. Contact us today for more information!

Medically reviewed by Dustin Reynolds, M.D.

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Spine Care Specialists

IF YOU LIVE WITH CHRONIC BACK OR NECK PAIN, CONTACT ORTHONEURO IN COLUMBUS, OHIO, FOR STATE-OF-THE-ART DIAGNOSIS AND PERSONALIZED SPINE CARE TREATMENT PLANS TO HEAL YOUR SPINE, RELIEVE YOUR PAIN, AND HELP YOU GET BACK TO YOUR REGULAR ACTIVITIES.

Paul H. Eichenseer, DO

Orthopedic Spine Surgeon

David K. Kim, MD

Orthopedic Spine Surgeon

Donald J. Rohl, DO

Orthopedic Spine Surgeon

Larry Todd, DO

Orthopedic Spine Surgeon

Mark A. White, DO

Neurosurgeon

Daniel P. Pap, MD

Interventional Pain Specialist

Dustin Reynolds, M.D.

Interventional Pain Management Specialist